Kevin Irving Stroh, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3467 Issued in CA

Practice address

1300 W Lodi Ave
Ste W
Lodi, CA 95242-3037

Phone

(209) 334-6664

Fax

(209) 334-2379

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lodi Podiatry GroupGroup PAC ID 4789709262, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336
• Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lodi Podiatry Group

  • Podiatrist
  • Lodi, CA
  • NPI 1750360699
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lodi Memorial Hospital Association Inc

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Jackson, CA
  • NPI 1447494323
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1104829431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W LODI AVE",
            "address_2": "STE W",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423037",
            "telephone_number": "209-334-6664",
            "fax_number": "209-334-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W LODI AVE",
            "address_2": "STE W",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423037",
            "telephone_number": "209-334-6664",
            "fax_number": "209-334-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROH",
        "first_name": "KEVIN",
        "middle_name": "IRVING",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E34670",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3467",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "CA",
            "license": "E3467",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E34670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanae Stiles, AA PSYCHOLOGY
• Janus Marie Stock, RN
• Stockton Primary Care
• Treva Sue Strain, LCSW
• Amanda Stremcha, MS
• Janeen A Suess, LCSW
• Laura Suess, RN
• Sam Nazih Suliman, D.D.S, MDS
• Marietta Abellera Sumaquial, M.D.
• Justin Jay Sunseri, LMFT

• Podiatrist in Lodi, CA
• Providers in Lodi, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.